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Omlonti - Omidenepag Isopropyl solution/ Drops
Highmark Blue Cross Blue Shield of Western New York
Highmark Blue Cross Blue Shield of Western New York Coverage for Omlonti - Omidenepag Isopropyl solution/ Drops
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9
Commercial
4
Health Exchange
2
Managed Medicaid
1
Medicare
2
Commercial
Commercial - HMO
PA Required
Step Therapy
Quantity Limit
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Commercial - PPO
PA Required
Step Therapy
Quantity Limit
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Commercial - Point of Service
PA Required
Step Therapy
Quantity Limit
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Commercial - Employer
PA Required
Step Therapy
Quantity Limit
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Health Exchange
Health Exchange - POS - Health Insurance Exchange
No PA
No Step Therapy
No Quantity Limit
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Health Exchange - HMO - Health Insurance Exchange
No PA
No Step Therapy
No Quantity Limit
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Managed Medicaid
Managed Medicaid - HMO - Medicaid
No PA
No Step Therapy
No Quantity Limit
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Medicare
Medicare - Prescription Drug Plan
No PA
No Step Therapy
No Quantity Limit
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Medicare - Medicare Advantage Part D
No PA
No Step Therapy
No Quantity Limit
See Details
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